Second-trimester uterine rupture in bicornuate uterus: A case report.

Abstract

Uterine rupture is a rare but serious complication that predominantly occurs in the third trimester of pregnancy. It is exceptionally uncommon in the second trimester, particularly in the presence of uterine anomalies such as a bicornuate uterus or uterus didelphys. This case report presents a significant instance of second-trimester uterine rupture associated with a bicornuate uterus, resulting in a life-threatening intra-abdominal hemorrhage of approximately 4000 mL. The case report details the clinical presentation, diagnostic challenges, and management strategies used in this case, highlighting the critical importance of prompt recognition and intervention in similar scenarios to improve maternal outcomes.